Organization
PROSTHETIC ORTHOTIC & PEDORTHIC ASSOCIATES, INC
Active
Other names
POPA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A YATES CPO (PRESIDENT)
(870) 932-6436
Entity
Organization
Contact information
Practice address
270 GERMAN OAK DR, CORDOVA, TN 38018-7220
(901) 751-0069
Mailing address
PO BOX 9303, JONESBORO, AR 72403-9303
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03581011
—
MS
05
—
1455109
—
TN
Enumeration date
06/01/2006
Last updated
08/22/2020
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